Individual provider Active NPI

Pamela Schofield Kennedy, M.D.

  • Dermatology Physician
  • Tallahassee, FL
National Provider Identifier
1245296318
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME 84319 Issued in FL
Practice address
1355 Thomaswood Dr
Tallahassee, FL 32308-7915
Phone
(850) 656-4555
Fax
(850) 656-4557
NPI assigned
Apr 26, 2006
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME 84319 FL Primary

Addresses

Primary practice location

1355 Thomaswood Dr
Tallahassee, FL 32308-7915

Mailing address

1355 Thomaswood Dr
Tallahassee, FL 32308-7915
Phone (850) 656-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000791 FL Practitioner - Dermatology 9234182346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Carolina School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pamela S. Kennedy, MD, P.a.Group PAC ID 8628245420, 3 clinicians

Practice addresses (Care Compare)

1355 Thomaswood Dr
Tallahasse, FL 32308-7915
Phone (850) 656-4555

Merit-based Incentive Payment System (MIPS)

Final score
77.32 of 100Reported as individual
Quality
58.76
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision102
Removal of skin lesions4397
Removal of nail tissue1-10
Removal or shaving of skin growth259
Skin biopsy1487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela S. Kennedy, MD, P.a. Dermatology CurrentSince Oct 1, 2011 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

1355 Thomaswood Dr
Tallahassee, FL 32308
Phone (850) 656-4555

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1245296318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 THOMASWOOD DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087915",
            "telephone_number": "850-656-4555",
            "fax_number": "850-656-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 THOMASWOOD DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087915",
            "telephone_number": "850-656-4555",
            "fax_number": "850-656-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "PAMELA",
        "middle_name": "SCHOFIELD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 84319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.